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通过社区参与解决癌症差异:经验教训与最佳实践

Addressing Cancer Disparities Through Community Engagement: Lessons and Best Practices.

作者信息

Kale Swarali, Hirani Shoyeb, Vardhan Sauvik, Mishra Aditi, Ghode Dewang B, Prasad Roshan, Wanjari Mayur

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Medicine, Mahatma Gandhi Mission (MGM) Medical College and Hospital, Aurangabad, IND.

出版信息

Cureus. 2023 Aug 14;15(8):e43445. doi: 10.7759/cureus.43445. eCollection 2023 Aug.

Abstract

Cancer disparities continue to be a significant public health challenge, disproportionately affecting certain communities in terms of incidence, mortality, and access to quality care. Addressing these disparities requires a multifaceted approach that involves not only healthcare professionals and researchers but also the active participation and collaboration of the affected communities themselves. Community engagement has emerged as a promising strategy to reduce cancer disparities and promote health equity. This review article synthesizes the existing literature and examines the role of community engagement in addressing cancer disparities. It explores various approaches and best practices utilized in community engagement initiatives to empower and involve diverse populations in the fight against cancer. The review discusses key lessons learned from successful programs and identifies challenges faced in implementing such initiatives. The article highlights the importance of cultural competence, trust-building, and meaningful collaboration between stakeholders, including community leaders, healthcare providers, researchers, and policymakers. It emphasizes the significance of tailoring interventions to specific community needs, acknowledging cultural differences, and fostering a two-way exchange of knowledge and resources. Moreover, this review investigates the impact of community engagement on cancer prevention, early detection, treatment adherence, and survivorship outcomes. It sheds light on the role of community-based participatory research and other innovative strategies in generating evidence and facilitating the translation of research findings into real-world interventions. In conclusion, this review underlines the potential of community engagement in addressing cancer disparities and promoting health equity. By involving communities as active partners in cancer control efforts, healthcare systems can design more effective and sustainable interventions. This approach not only contributes to reducing cancer disparities but also fosters a sense of ownership and empowerment within the communities affected, paving the way for a more equitable and inclusive healthcare landscape.

摘要

癌症差异仍然是一项重大的公共卫生挑战,在发病率、死亡率以及获得优质医疗服务方面,对某些社区造成了不成比例的影响。解决这些差异需要采取多方面的方法,不仅涉及医疗保健专业人员和研究人员,还需要受影响社区自身的积极参与和协作。社区参与已成为减少癌症差异和促进健康公平的一项有前景的策略。这篇综述文章综合了现有文献,并探讨了社区参与在解决癌症差异方面的作用。它探讨了社区参与倡议中采用的各种方法和最佳实践,以使不同人群能够参与并投身于抗癌斗争。该综述讨论了从成功项目中学到的关键经验教训,并确定了实施此类倡议所面临的挑战。文章强调了文化能力、建立信任以及利益相关者(包括社区领袖、医疗服务提供者、研究人员和政策制定者)之间有意义的合作的重要性。它强调了根据特定社区需求调整干预措施、承认文化差异以及促进知识和资源的双向交流的重要性。此外,本综述调查了社区参与对癌症预防、早期检测、治疗依从性和生存结果的影响。它揭示了基于社区的参与性研究和其他创新策略在生成证据以及促进将研究结果转化为实际干预措施方面的作用。总之,本综述强调了社区参与在解决癌症差异和促进健康公平方面的潜力。通过让社区作为癌症控制工作的积极伙伴参与进来,医疗保健系统可以设计出更有效和可持续的干预措施。这种方法不仅有助于减少癌症差异,还能在受影响的社区中培养主人翁意识和赋权感,为建立一个更加公平和包容的医疗保健格局铺平道路。

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